Submitting an Information Application
The application, based upon best available information, describes the location, source and characteristics of the wastewater discharge.
- Application (MS Word)
- Application (PDF)
Submit the completed information application and a $75.00 initial application fee to:
Public Health Madison & Dane County
Attn: Rick Wenta
210 MLK Jr. Blvd, Rm 507
Madison, WI 53703
Make check payable to: City Treasurer
Upon approval of the application you will receive further instructions. If you have any questions please contact Madison Health Department, George Parrino at 608-243-0318.